Dept of Vascular & Endovascular Surgery Sir Ganga Ram Hospital ,New Delhi

Clinical Presentation

• 72 years old male

• Chronic smoker

• Severe LV dysfunction (EF 25%)

• Now right lower limb critical limb ischaemia – 5th toe gangrene and rest pain

• Creatinine – 2.04

Angiography

• Right lower limb angiography :

• CIA, EIA,CFA, PFA appears normal

• SFA occluded from origin with reformed popliteal artery (5-7cm) behind the knee and occlusion of infragenicularpopliteal artery

• Reformed ATA in proximal one third leg and crossing the ankle .

PLAN

RIGHT SFA AND POPLITEAL ANGIOPLASTY